Ruptured left gastroepiploic artery aneurysm - a diagnostic dilemma.

We report a case of a 63-year-old man who presented to Accident and Emergency department (A&E) with dizzy spells and falls of sudden onset, without any obvious cardiac or vestibular abnormality. He had significant co-morbidity and rupture of the left gastroepiploic artery aneurysm. The atypical presentation and rarity of the case posed a diagnostic dilemma. Once the diagnosis was established by computerised tomography (CT), treatment was uncomplicated with good recovery.